| NPI | 1003059171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2462) |
| Enumeration Date | 2009-04-19 |
| Last Update Date | 2021-11-01 |